Appalachian Regional Healthcare, INC.
Appalachian Regional Healthcare, INC. was paid $1.72M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
HINTON, WV 25951
Next to other Rural Health Clinic/Center providers in West Virginia
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,631 | $227K | |
| 2019 | 4,615 | $164K | |
| 2020 | 6,365 | $203K | |
| 2021 | 7,769 | $248K | |
| 2022 | 7,914 | $294K | |
| 2023 | 8,180 | $282K | |
| 2024incomplete | 7,233 | $301K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 92% | 23,440 | 17,172 | $1.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 11,452 | 9,579 | $70K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.7% | 5,997 | 5,258 | $46K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,931 | 4,390 | $8K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 489 | 383 | $6K |
| 99307 | <1% | 735 | 473 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 325 | 265 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 358 | 237 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | 49 | $743.22 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 160 | 153 | $682.98 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 14 | 12 | $349.95 |
| 81002 | <1% | 46 | 43 | $344.31 |
10 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 26 | $155.46 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 59 | $0.00 |
| 91300 | 0% | 17 | $0.00 | |
| 3078F | 0% | 62 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 407 | $0.00 |
| 90688 | 0% | 22 | $0.00 | |
| 1111F | 0% | 28 | $0.00 | |
| 3074F | 0% | 55 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 20 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.